$126.75–$141.38
Q4357 identifies Xwrap Plus; Q4358 identifies Xwrap Dual. Report the code matching the product used.
On this page
CMS RVU26D · Effective 2026-10-01
Q4358 Wound product Medicare reimbursement rates in Oregon
Reports the area of Xwrap Dual wound-care product used with a primary wound application procedure, measured in square centimeters. Compare Q4358 office and facility rates across CMS payment localities in Oregon.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for Q4358 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$126.75–$141.38
2 of 2 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound care product
About Q4358: Xwrap Dual wound product
Reports the area of Xwrap Dual wound-care product used with a primary wound application procedure, measured in square centimeters.
Q4358 identifies the Xwrap Dual wound-care product by the area used, rather than the clinician’s work to prepare or apply it. It may be reported when a wound-care clinician or surgeon uses the product during treatment of a wound, including in an office or hospital outpatient setting. The clinical record should identify the treated wound and the product used.
Report the product with a primary application procedure; Q4358 is an add-on code and is not billed by itself. Document the quantity in square centimeters so the units match the area used. CMS places payment within the primary procedure’s global period. Q4358 is classified as technical-component-only, with a separate code covering interpretation.
CMS billing rules for Q4358
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Q4358 compared with similar codes
Office rates for Oregon, from the same CMS release.
$126.75–$141.38
Q4359 identifies Choriply, a different wound-care product. Choose Q4358 only when the product used is Xwrap Dual.
$155.49–$168.32
15271 reports the primary application service for qualifying wound areas; Q4358 reports the Xwrap Dual product used with a primary procedure.
Compare Q4358 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Portland →
Office / nonfacility
$141.38
Facility
Unavailable
Rest Of Oregon →
Office / nonfacility
$126.75
Facility
Unavailable
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Q4358 billing questions
Can Q4358 be billed by itself?
No. It is an add-on code and must be reported with a primary procedure, such as the applicable wound-product application code.
How should the units be determined?
Base the units on the square centimeters of Xwrap Dual used, supported by documentation of the treated area and product quantity.
How does Q4358 differ from Q4357?
Q4358 identifies Xwrap Dual, while Q4357 identifies Xwrap Plus. Select the code for the specific product used.
Is interpretation included in Q4358?
CMS classifies Q4358 as technical-component-only; a separate code covers interpretation.
How is payment handled with the primary procedure?
Q4358 is paid within the primary procedure’s global period and must be paired with that procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
18,442Q4355,,Abio xpl abio xpl hy p sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,443Q4356,,Abio mem abio hyd per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,444Q4357,,"Xwrap plus, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,445Q4358,,"Xwrap dual, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,446Q4359,,"Choriply, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,447Q4360,,Amchoplast fd per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,448Q4361,,"Epixpress, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00